| NPI | 1730623380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001458-01) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1002983151) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2023-10-25 |